Individual provider Active NPI

Deborah Ann Vuillemot, ARNP, CNM

  • Advanced Practice Midwife
  • Auburn, MA
National Provider Identifier
1114097128
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN2318968 Issued in MA
Practice address
385 Southbridge St
Auburn, MA 01501-2498
Phone
(508) 949-6874
Fax
(508) 949-6739
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 000354 CT
Advanced Practice Midwife 367A00000X RN2318968 MA Primary

Addresses

Primary practice location

385 Southbridge St
Auburn, MA 01501-2498

Mailing address

5 Neponset St FL Street2
Worcester, MA 01606-2714
Phone (508) 949-6874

Other identifiers 2

IdentifierTypeStateIssuer
008036366MedicaidCT
9639634MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208000898 MA Practitioner - Certified Nurse Midwife (CNM) 8921909763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Massachusetts - Direct PCGroup PAC ID 1456752609, 18 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (864) 908-3530

344 Thompson Rd
Webster, MA 01570-1509
Phone (508) 949-6880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
354CTMDChiropractor
RN2318968MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. Advanced Practice Midwife CurrentSince Nov 7, 2023 Accepting new patients
Reliant Medical Group, Inc CurrentSince Nov 13, 2017 Accepting new patients
Obhg Massachusetts - Direct, P.C. CurrentSince Apr 20, 2023 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Cascade Womens Healthcare Past Accepting new patients

Locations

4 Brotherton Way
Auburn, MA 01501
Phone (508) 425-5446

385 Southbridge St
Auburn, MA 01501
Phone (508) 721-1101

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

344 Thompson Rd
Webster, MA 01570
Phone (508) 671-4050

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

5 Neponset St
#2
Worcester, MA 01606

123 Summer St
Ste 150S
Worcester, MA 01608
Phone (508) 368-3110

630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

  • Direct secure messaging: deborah.vuillemot.npi1114097128.reliant@direct.optumcare.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1114097128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST FL STREET2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "508-949-6874",
            "fax_number": "508-949-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SOUTHBRIDGE ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012498",
            "telephone_number": "508-949-6874",
            "fax_number": "508-949-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUILLEMOT",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000354",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2318968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008036366",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9639634",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

Verify at the official NPI Registry.